Rozprawy doktorskie na temat „Suicide – Prevention”
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Flores, Cornejo Fiorela, Tome Mayumi Kamego, Pachas Mariana A. Zapata i German F. Alvarado. "Weighing the evidence for suicide prevention". Associac¸a˜ o Brasileira de Psiquiatria, 2015. http://hdl.handle.net/10757/579697.
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NAVEAU, FLORIAN. "Suicide inaugural et prevention". Angers, 1989. http://www.theses.fr/1989ANGE1076.
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Stern, Savannah. "Suicide and Suicide Prevention in Media and Mass Culture". Scholarship @ Claremont, 2019. https://scholarship.claremont.edu/cmc_theses/2030.
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With suicide on the rise nationwide, it is important now more than ever to prioritize suicide as a public health issue. This means raising awareness and conducting research aimed at developing new suicide prevention tools and strategies, as well as reevaluating and challenging already existent ones. Media messaging can be a great suicide prevention tool. Suicide depictions and reporting in different forms of media—including newspapers, online publications, film, television, and more—have the power to influence behavior. When reporting in a safe and appropriate manner, the media can influence behavior in a positive way and encourage help-seeking. However, reports that sensationalize and glamorize suicide have the potential to spark suicide contagion. Thus, when reporting on suicide it is crucial to be aware of best practices and recommendations developed by experts. In recent years, media campaigns aimed at suicide prevention have gained traction. While there has been some evidence suggesting the success of such campaigns, more research is needed in this area. Further research is also needed to assess the effects of fictional depictions of suicide in film and television.
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Nowers, Michael. "Violent suicide : pathways to prevention". Thesis, University of Bristol, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.393881.
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Wentworth, Leah Marie. "Suicide prevention and the workplace". Diss., University of Iowa, 2016. https://ir.uiowa.edu/etd/2292.
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The long-term goal of this research is to reduce the number of deaths by suicide. Suicide is the leading cause of violent death in the United States, and is currently the 10th most common cause of death across all age groups. Suicide prevention efforts have historically been focused on youth/young adults, and the elderly, with less attention on programming for individuals in the working years. Our intention is to generally broaden the understanding of suicide, depression and the workplace, with the hope of improving interventions for this underserved population.
The research activities outlined below were conducted under the auspices of a larger quasi-experiment at the University of Iowa. We first sought to assess the experiences of professional, nonclinical staff identifying and responding to apparently mental health problems in the workplace. We looked at the impact of two exposures on engagement with individuals in crisis: self-reported contact (the number of students or coworkers a participant interacted with each week), and participation in any suicide prevention training/programming over the previous five years. High contact with students was generally associated with a greater capacity for recognizing and responding to depression and potential suicidality. In contrast, the association between high contact with employees and recognition and response was insignificant for four of the six recognition and response behaviors. Participation in any form of suicide prevention training or programming in the previous five years was highly associated with recognizing and responding to depressed or suicidal coworkers and students.
Next, we considered the impact of a personal prior experience with suicide and prior suicide prevention training/programming on four constructs: preparedness to respond to someone in crisis, familiarity with appropriate resources, gatekeeper self-efficacy, and gatekeeper reluctance. Suicide prevention training/programming was significantly associated with higher perception of three constructs: preparedness, familiarity, and self-efficacy. There was no statistical difference in reluctance between previously training participants and participants who had not previously taken suicide prevention training or programming. Individuals who had a personal prior experience with suicide were less reluctant to engage, although the results were not significant. There was an association between individuals who had a personal prior experience with suicide and suicide prevention training/programming, suggesting that individuals with a personal connection to suicide might be more likely to enroll in suicide prevention programming.
Finally, we examined how a suicide prevention training programming impacted the perception of safety culture in the workplace. On the 10 item safety scale, there was a significant difference between the means scores reported by the intervention and control group on 7 of the 10 questions. Individuals who participated in QPR gatekeeper training reported a higher sum safety culture score than individuals who did not participate in the training; the overall model was statistically significant.
This project shows that suicide prevention training/programming of any kind in the workplace can have a persistent, positive training impact on employees by informing and empowering them to act. It suggests that individuals with a personal prior experience with suicide may be more likely to take suicide prevention training, and may be less reluctant to engage with someone in crisis. It also demonstrates that suicide prevention training may have a positive impact on other workplace psychosocial factors, and deserves prioritization in workplace wellness programming.
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Roberts, Monica L. "Adolescent Suicide Prevention| Life Experiences Contributing to Suicidal Ideation Resilience". Thesis, Saybrook University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10681251.
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Suicide is a significant public health problem. It is among the top three chief causes of death for young people, ages 10-24 years (CDC, 2016). The majority of studies on suicide focus on what causes suicidal thoughts, suicidal attempts, and completed suicides (e.g., Dougherty, 2010; Shneidman, 1993; Van Orden et al., 2010). While these studies are crucial, it is also vital to understand why and how people survive and thrive. Focusing on adolescent suicide prevention through the lens of resiliency, the research questions are as follows: Why and how did suicidal adolescents decide against suicide?
Thirty-two participants (16 males and 16 females) from diverse ethnic and socioeconomic backgrounds, ages 21 to 50 years, completed an anonymous online self-report questionnaire. The data were analyzed, using Braun and Clarke's (2006) thematic analysis. The results of the analysis identified four areas in which suicidal adolescents find resiliency from suicidal thinking: social support and professional help, positive life event or circumstance, responsibility and or purpose, and religious and/or spiritual experience. Drawing from the linkages of the themes, the adolescent suicidal ideation theory was developed and explained.
The theoretical explanation, the first of its kind in regard to understanding why and how suicidal youths decide against suicide, is an important contribution in the fields of psychology and adolescent suicide prevention. It also serves to inform mental health professionals, educators, parents, adolescents, and children. Implications in the research highlight the buffering effects of personal connection (i.e., social and professional help), positive emotions, responsibility and purpose, and a religious and/or spiritual foundation in fostering suicidal ideation resilience. Suggested recommendations for policymakers include developing comprehensive training classes to promote healthy families and effective parenting; promoting age appropriate coping and problem-solving skills and resilience strategies to children and adolescents, starting a kindergarten through the twelfth grade (K-12), and six other recommendations are outlined in the discussion section of the paper. Further research could be conducted to strengthen the evidence-base of humanistic, existential, transpersonal, integrative, and trauma-informed therapies to help depressed and suicidal young people recover and acquire positive mental emotional health and wellness.
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Cramer, Ryan. "Experiences of newly qualified south african psychologists dealing with suicidal behaviour". Thesis, Nelson Mandela Metropolitan University, 2016. http://hdl.handle.net/10948/5677.
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Suicidal behaviour is a phenomenon encountered the world over. Recognising and adequately dealing with such behaviours, in a professional setting, is a role expected of a psychologist. Working with suicidal behaviour is influenced by a variety of factors on the part of the psychologist. These may include, inter alia, experiences they may have had with suicidal behaviour, the training they have received in order to deal with such behaviours and their subjective experience of self-efficacy in dealing with such behaviours. The current qualitative study sought to explore and describe the experiences of recently qualified South African psychologists in dealing with suicidal behaviour through semi-structured interviews. The focus was on newly qualified clinical psychologists who received their masters training at a university in the Eastern Cape Province of South Africa. The study aimed to understand how confident, equipped, and ready newly qualified psychologists perceived themselves in dealing with suicidal behaviour. Three major themes emerged from the data. The first describes the strategies psychologists used in order to recognise potential suicidal behaviour, the second was how newly qualified psychologists managed suicidal behaviour, and the final theme described how psychologists could be prepared for their role to deal effectively with these behaviours. Investigating their experiences enabled the participants to contribute towards creating knowledge in this crucial area of psychological practice and allowed for the discovery of invaluable insights which could benefit the future training of psychologists.
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Tymofiieva, M. P. "Prophylaxis and prevention of suicide behavior". Thesis, БДМУ, 2021. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/18944.
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Cannon, Danielle Ann. "Paraeducators: Gatekeepers to Youth Suicide Prevention". BYU ScholarsArchive, 2014. https://scholarsarchive.byu.edu/etd/4092.
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For youth between the ages of 10 and 24, suicide is the third leading cause of death. School-aged youth that struggle with suicidal thoughts often express their feelings to peers and some trusted adults. Generally, these trusted adults work in school settings. Potentially, teachers and staff can serve as vital gatekeepers to identify and support students who struggle with suicide ideation. In particular, paraeducators, who are often seen as less of an authority figure, become easier to approach due to the personal relationships created in small groups and one-on-one interactions with students. If trained in suicide prevention, paraeducators, who work closely with students and are part of the local community, could become an important gatekeeper. The current study sought to investigate paraeducators' perceptions of the following questions: (a) Are paraeducators approached by students with suicide ideation? and (b) How are paraeducators currently responding to suicidal students? The final purpose of this survey was to collect information that informed and supported the implementation of training for paraeducators in the area of school-based suicide prevention and intervention. This study's survey was distributed in an urban Utah school district to 854 paraeducators. Of the 854 surveys, 77 surveys were completed by paraeducators (9% participation rate). Of the participating paraeducators, 32% reported being approached by a student who expressed suicidal thoughts. Paraeducators indicated that their most frequent response to suicidal students was to provide counsel (39%), whereas to tell supervising teachers or administrators was listed as their third or fourth response option. Most paraeducators (97%) perceived that their role included reporting a student at-risk for suicide, however most (67%) reported having no suicide training or being unsure of what training was available. This lack of training is problematic due to the number of paraeducators being approached by students expressing thoughts of suicide. Additionally this research supports the need to train school support staff.
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France, Wanda F. "Psychiatric Nurses' Knowledge of Suicide Prevention". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7226.
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Suicide is a major health concern worldwide. Nurse practitioners must possess suicide assessment skills and treatment knowledge to ensure appropriate identification of persons with suicidal ideation. The purpose of this project was to assess psychiatric nurse practitioners' knowledge of suicide prevention in rural Kentucky. The conceptual framework was Orlando's nursing process theory, which emphasizes the importance of nurse-patient interaction. A 13-item survey of suicide-related knowledge and skills was administered to 10 psychiatric nurse practitioners in rural Kentucky. Only 3 participants responded correctly to a question related to suicidality in persons with borderline personality disorder. Regarding competency and support for assessing suicide, 100% of participants reported that they were comfortable asking direct and open-ended questions regarding suicide. Nine of the 10 respondents assessed their knowledge and skills as sufficient to engage effectively with patients contemplating suicide, which indicates that psychiatric nurse practitioners may overestimate their ability to identify and treat persons with suicidal ideation. Healthcare providers in all specialties can benefit from this project by improving competencies and guiding continuing education to bridge any gaps in knowledge for adequately assessing suicide. Further education is needed for psychiatric nurse practitioners to promote positive social change for suicidal persons, their families, and their communities.
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SOLANO, PAOLA. "Suicide prevention: investigating a complex phenomenon". Doctoral thesis, Università degli studi di Genova, 2019. http://hdl.handle.net/11567/969689.
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Bygg, Elin. "Utbildning förbättrar omhändertagande och bemötande av suicidala ungdomar". Thesis, Röda Korsets Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2237.
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Bakgrund: En av de vanligaste dödsorsakerna bland ungdomar i Sverige är suicid. Den ökade psykiska ohälsan är en vanlig bakomliggande orsak till suicidalitet bland unga. Vårdpersonal upplever ofta en osäkerhet i mötet med unga suicidalapatienter då de, i bemötandet, inte vet hur de ska gå tillväga. Kunskap om riskfaktorer, beteende och förutsägbarhet är viktiga faktorer för att i tid upptäcka ett suicidalt beteende. Syfte: Uppsatsen ska belysa hur vårdpersonal efter utbildning i suicidprevention kan förbättra omhändertagande och bemötande av suicidala ungdomar mellan 15 – 24 år. Metod: Studien är genomförd i form av en litteraturstudie där resultatet baseras på analysen av 10 vetenskapliga artiklar, både kvalitativa och kvantitativa, som noga granskades och bearbetades. Resultat: Resultatet visar att kunskapen om suicid är en viktig faktor för att underlätta vårdpersonalens möte med den unga suicidala patienten och ge en bättre omvårdnad. Det visade även på att attityden förändra på grund av att förståelsen för suicidbenägna patienter ökar. Flera suicidanal ungdomar fångas upp tidigt då förståelsen för riskbeteendet ökar. Slutsats: Studien visar att ökar kunskapen om suicid prevention och behandling av suicid hos vårdpersonalen så ökar förståelse och attityder mot suicidala ungdomar förbättras. Vårdpersonalen har ett större självförtroende i att vårda suicidala ungdomar när kunskap finns hos vårdare om vad som kan utlösa suicidbeteende samt vilka riskbeteende som finns, vilket ger patienter en bättre vård. Utbildning leder också till förbättrar omhändertagande och bemötande av suicidala ungdomar. Klinisk betydelse: Ökad kunskap om suicid genom utbildning i kombination med att vårda suicidala unga ger en större förståelse för komplexiteten att vårda suicidala ungdomar.Background: One of the most common causes of death among young people in Sweden is suicide. Mental illness, which is increasing, is a common underlying cause of suicidality among young people. Nurses often experience uncertainty in how to respond to young suicidal patients. Knowledge about risk factors, behavior and predictability are important factors to detection of a suicidal behavior in time Aim: The aim is to highlight how health professionals after suicide prevention can improve the care and treatment of suicidal adolescents between 15 - 24 years. Method: This study was preformed through a qualitative approach by reviewing 10 peer-reviewed articles both qualitative and quantitative. Result: The results show that education aimed at health care professionals regarding suicide is important factor in improving treatment of the suicidal patient. It also showed that the attitude change among health professionals towards suicidal patients. Conclusion: It is of great importance that health care professionals trained in the subject to be able to respond to patients in a professional manner and actively work with prevention in health care. If the health care professionals can see the patient from a holistic approach, and constantly go back and reconsider their view if the patient and their needs it will lead to a more person centered care. Clinical significance: Increased knowledge about suicide through education in combination with caring for young suicidal patients will give a greater understanding of the complexity of caring for suicidal adolescents.
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Zhang, Yi, i 张一. "Identifying risk factors for suicide research and prevention". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hub.hku.hk/bib/B50533782.
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Research on risk factor for suicidal behaviors has been broadly conducted to enhance knowledge of suicide prevention. However, there are still challenges for risk factor research. Four major research gaps have been identified: (1) uncertain effectiveness of the population approach versus the high-risk approach for suicide prevention; (2) lack of a valid and convenient Chinese-version screening tool for the severity of suicidal ideation among adolescents; (3) demand for testing the prospective associations of risk factors with suicidal ideation using a longitudinal designed population-based sample; and (4) necessity of pathway analysis to explore and confirm how risk factors interact with each other and lead to suicidality. This thesis aims to address these gaps through a combination of five studies.
Study 1 introduces an illness and death model to suicide prevention research. Elasticity and sensitivity analyses were performed. The findings revealed that the control of suicide incidence among the healthy population is the most effective prevention strategy whereas treatment of mental illness appears to be the least effective approach to suicide prevention.
Study 2 validates the psychometric properties of the Chinese versions of Reynolds’s Suicidal Ideation Questionnaire (SIQ) and Suicidal Ideation Questionnaire Junior (SIQ-JR, a short version of the SIQ) in a sample of Hong Kong adolescents. A short, four-item version of the SIQ-JR has been suggested as an alternative to the SIQ and the SIQ-JR.
Study 3 identifies the history of psychiatric treatment, depression, anxiety, hopelessness, unstable marital status, poor economic circumstance, and a recent death of a first-degree relative as significant risk factors for the incidence of suicidal ideation. The associations of change in risk factors with the development of suicidal ideation have been tested. There are gender and age differences in the patterns of such associations.
Study 4 focuses on psychological factors associated with the first-ever incidence of suicidal ideation. Psychological factors have been detected generally to differ in their associations with the incidence and persistence of suicidality. The idea that depression partially mediates the effect of average life distress on the persistence of suicidal ideation has clinical value.
Study 5 introduces and tests a stressor and illness model as a theoretical framework reference for future risk factor research. Risk factors are classified into stressor, illness, and pattern factors. Both the simple and complex models are tested. Evidence supported the proposed mediating role of mental disorders between negative life events and severity of suicidal ideation. A gender-specific pattern of associations between stressors, illness, and severity of suicidal ideation has also been detected.
This thesis has made substantial theoretical, psychometric, and empirical contributions to the existing knowledge of suicide research.published_or_final_version
Social Work and Social Administration
Doctoral
Doctor of Philosophy
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Edwards, Stephen J. "No-suicide contracts, no-suicide agreements and no-suicide assurances : an exploratory study of their nature, utilization and perceived effectiveness". University of Western Australia. Social Work and Social Policy Discipline Group, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0149.
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The research examined mental health practitioners' attitudes towards, satisfaction with and use of suicide prevention contracting (SPC) techniques. Survey respondents comprised consultant psychiatrists, clinical psychologists, occupational therapists, mental health nurses, psychologists, registered medical officers and social workers. A self-report questionnaire was mailed to 1347 potential respondents, together with three follow-up letters sent out at two-week intervals. There was a 31% response rate, producing 420 valid questionnaires. The results of the research re-confirm the historical trajectory of SPC, from its early beginnings as a relationship-based suicide-risk assessment technique to one that is used in contemporary practice by practitioners to meet a range of objectives. The research focused on three SPC techniques in operation in clinical practice: verbal no-suicide assurances, no-suicide agreements, and written no-suicide contracts. Analysis of the data suggests a number of important findings. The first of these is that practitioners perceive different utility among these three techniques. Secondly, the least experienced practitioners were significantly less likely to use no-suicide contracts, despite seeing more suicidality and having more formal training in the use of the technique. Thirdly, a practitioner's gender, and formal training were significant in the perception and application of SPC techniques. Finally, suicidal behaviours and completed suicide was a clinical outcome in some situations irrespective of the use and non-use of SPC. The findings of this research are used to provide an emerging conceptual framework and associated nomenclature that inform clinical decision-making in relation to SPC. In addition, a conceptual model is presented which demonstrates that the potential for injudicious use of SPC techniques is as much precipitated by individual factors as it is by broader environmental factors. Key words: no-suicide contracts, suicide prevention contracts, no-suicide agreements, no-suicide decisions, contingency contracting.
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Hatton, Victoria R. "Secondary Teachers' Perceived Role in Suicide Prevention and Intervening with Suicidal Students". BYU ScholarsArchive, 2014. https://scholarsarchive.byu.edu/etd/4215.
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Best practices in adolescent suicide prevention include teachers as major participants, because teachers are in a unique and frontline position to support students. Unfortunately, many teachers are unaware of their role in suicide prevention efforts. In addition to confusion about their roles, teachers may feel uncomfortable and/or lack confidence in their abilities to identify warning signs and intervene with suicidal students. This study assessed secondary teachers' (N = 74) perceptions of their role in suicide prevention as well as how they perceive their comfort and confidence levels in identifying and intervening with suicidal students. In addition, this study explored possible reasons teachers might feel uncomfortable assisting in suicide prevention. While teachers overwhelmingly agreed that they should have a role in adolescent suicide prevention, teachers also reported having limited confidence in their ability to identify or help potentially suicidal youth. Teachers also acknowledged limited training, fear of making the situation worse, and fear of legal repercussions as potential barriers to participating in suicide prevention efforts. Consequently, teachers will benefit from more direct training which clearly identifies their roles and allows opportunities for teachers to role play.
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Baker, Derek Allen. "School Psychologists' Suicide Prevention and Intervention Readiness". Miami University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=miami1592305345170071.
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Kaur, Jaskiran. "Attitudes of Suicide Prevention Workers toward Euthanasia". Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37720.
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Extensive research has been conducted on the attitudes of physicians and nurses toward euthanasia. However, little is known on the attitudes of suicide prevention workers (SPWs). The objectives of this study were to: (1) examine the attitudes of SPWs toward euthanasia for a non-descript person versus for a loved one; (2) verify the association between personal factors (experiences, sociodemographics) and attitudes, and (3) explore personal experiences of SPWs in relation to grievous illness. A survey was sent out to all suicide prevention centres across Quebec (n=32). A majority of SPWs (55.7%) held positive attitudes toward euthanasia for a non-descript person and for a loved one (49.5%). Statistically significant differences were found in attitudes among SPWs who had personal and professional experiences. There were no other statistically significant differences in the attitudes of SPWs toward euthanasia for a non-descript person or for a loved one, and any of the sociodemographic factors. Three themes emerged from the qualitative analysis of open-ended question on personal experiences of SPWs: respect of choice, suffering/low quality of life and palliative care. While some findings may be concluded from this study, it is essential that this topic be explored further as research on SPWs’ attitudes on euthanasia is limited. Research outcomes of this study can have important short-term and long-term implications on suicide prevention and training of SPWs to improve services offered to clients.
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Whicker, Jennifer L. "Supporting Utah's Parents in Preventing Adolescent Suicide: A Literature Review and Handouts for Utah's Youth Suicide Prevention Manual". BYU ScholarsArchive, 2012. https://scholarsarchive.byu.edu/etd/3275.
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Suicide, a public health problem on a global scale, has become the focus in many domains across the United States. With the recent push to provide solutions to the adolescent suicide rate in the U.S., the school setting has become an important venue for prevention and intervention efforts. While there are many risk and protective factors, the majority of suicide completions are concurrent with psychiatric disorders among adolescents; as such, this is an area that warrants further investigation. Additionally, school resources are often overwhelmed by the magnitude of need among the student population; therefore, effective interventions must be identified that can feasibly be implemented in the schools. Research has suggested that parent-adolescent relationships are key in the prevention of suicide, yet minimal research has been conducted towards promoting healthy parent-adolescent relationships for at-risk adolescents. Additionally, some research suggests that school and community interventions are only more effective than parental support when negative parent-adolescent relationships are present. This implies that fostering parental support should be a top priority in school-based suicide prevention efforts. This literature review identifies and summarizes pertinent scholarly research and resources for schools to better support parents of adolescents who struggle with suicidal thoughts and previous attempted suicides. As part of an intervention plan which increases home/school collaboration in adolescent suicide prevention, handouts were developed for parents (found in the appendix), which include information on warning signs of suicide, risk factors for suicide, and methods of responding to suicidality. After adapting these handouts to best meet their students' needs, school-based mental health professionals may consider including these handouts in their school's crisis plan and suicide prevention efforts.
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Duncan, Bobby Charles. "Suicide: a Solo Interpretation Performance". Thesis, University of North Texas, 1990. https://digital.library.unt.edu/ark:/67531/metadc501100/.
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The purpose of this project was to determine if oral interpretation in a social context setting can be used as a persuasive means of suicide prevention. A script on suicide was compiled, directed and performed as a solo performance by the writer. The thesis includes the script, a history of suicide prevention, the process of compiling a script for solo interpretation performance, and an overall evaluation of the production. This Author's evaluation was influenced by audience and critic responses.
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Osterhues, Paige M. "Educators' Perspective of Suicide Prevention Program: Hope Squad". University of Dayton / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=dayton1628245473895649.
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Miller, David Teekell. "The establishment of a suicide prevention ministry team". Theological Research Exchange Network (TREN), 1989. http://www.tren.com.
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O'Connor, Rory. "Suicide and parasuicide : aspects of identification and prevention". Thesis, Queen's University Belfast, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.388170.
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Patterson, Daren C. "Suicide procedures with youth prevention, intervention and postvention /". Online version, 2008. http://www.uwstout.edu/lib/thesis/2008/2008pattersond.pdf.
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Stillman, Amy Paskett. "Utah Mental Health Professionals' Recommendations for Working with Youth at Risk for Suicide". BYU ScholarsArchive, 2016. https://scholarsarchive.byu.edu/etd/6081.
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Suicide has immediate and long-term negative effects on surviving family members and adverse effects in the school and community. Suicide rates for children and adolescents have increased in the United States since 2009. As part of suicide prevention efforts, information about risk factors and warning signs are typically addressed in schools, private organizations, and communities. In addition to academic literature for professional audiences, various therapeutic resources are available to assist those who grieve the suicide of a loved one. In particular, practical and easy-to-implement interventions are needed by those who offer support to suicidal individuals and survivors of suicide. Practical resources are needed to address suicide prevention, intervention, and postvention needs. This study is based on a questionnaire that was given to 250 registered individuals at an annual state suicide prevention training conference. Of those attending, 60 (24%) completed the questionnaire. Participants who did not have experience working with suicidal youth did not participate, so the actual participation rate was influenced by this factor. Questions explored the recommendations of mental health professionals (N=60) who worked with (a) suicidal youth, (b) siblings of youth who completed suicide, and/or (c) youth whose parent completed suicide. More specifically this study investigated specific strategies and resources for working with these three specific groups of survivors. Findings from this study indicated that mental health professionals recommend a variety of suicide prevention resources and strategies such as implementing evidenced-based prevention programs, accessing community resources, offering individual and group counseling for survivors, involving or creating support systems, and listening to the affected youth. Also, recommended therapeutic approaches should include an action plan where students are able to receive appropriate mental health services. Based on this study, mental health professionals may be more effective as they acquaint themselves with available resources such as counselors, school psychologists, and community services to comprehensively care for struggling individuals. Mental health professionals, educators, and staff members should obtain relevant information and utilize effective intervention models in order to better address the prevention, intervention, and postvention needs of surviving individuals.Recommendations are made for future research in identifying the combination of resources that are most helpful. Recommendations are also made regarding specific content and training strategies to more effectively prepare and equip professionals to engage more fully in effective and supportive suicide prevention efforts.
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Lasrado, Reena Anitha. "A qualitative study of the cultural implications of attempted suicide and its prevention in South India". Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/a-qualitative-study-of-the-cultural-implications-of-attempted-suicide-and-its-prevention-in-south-india(90335082-db3a-4a0a-a853-5193cbd90f41).html.
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Suicide in India is a complex social issue and a neglected area by the state. Research has focused on risk factors and the epidemiology of suicide; studies concerning the intersection of culture with attempted suicide are limited. The aim of this study is to explore cultural implications of attempted suicide and its prevention in Southern India by means of comparing and contrasting the accounts of survivors of attempted suicide, mental health professionals and traditional healers engaged in treating people with suicidal behaviour. Methodology: A qualitative design is used drawing on constant comparison method and thematic analysis. The analysis of the data is underpinned by the theoretical concepts of Bourdieu’s work. In-depth interviews were conducted with fifteen survivors of attempted suicide, eight mental health professionals and eight healers from Southern India. Results: Application of Bourdieu’s theory of symbolic power and violence, cultural capital and habitus to the analysis of data revealed the process of constant interaction among visible and invisible fields such as faith, power, control, family, religion and social systems which impact survivors’ disposition to situations. Disparities in gender and role structures within families, financial challenges, health concerns, abuse, and violence were commonly cited factors by all three groups of participants. A few survivors and healers attributed misfortunes and distress to magic, spells and ‘bad times’. Healers and professionals were particularly of the opinion that cultural transition has added to stress among people. Survivors considered religious and traditional methods of support as socially accepted norms. Medical assistance was sought only during apparent ill health. Psychosocial support was very rarely accessed and availed. A lack of awareness among family members and friends to identify mental health concerns and a wide gap between identification of severe stressors and treatment increased the risk of suicide and limited timely intervention. Conclusion: This study identified a set of cultural mechanisms that produced negative impact and led to attempted suicide. The role of culture in causing suicide and attempted suicide is explained by unraveling the dynamics of cultural mechanisms and support processes that survivors experienced and as reported by professionals and healers. This research evidence presents pathways into attempted suicide and a life away from suicide.
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Slater, Thomas. "Exploring the role of social workers in suicide prevention". Thesis, Cardiff University, 2014. http://orca.cf.ac.uk/70904/.
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This thesis explores the role of social workers in suicide prevention. Using a mixed methods approach the research examines how social workers understand, and work with, suicidal individuals in multi-agency and interdisciplinary settings. In my first empirical chapter (chapter five) a secondary analysis of the Adult Psychiatric Morbidity Survey (2007) (n=7,403) explores the circumstances under which social workers come into contact with suicidal individuals. Using a multinomial logistic regression it has been possible to establish that substance misuse is associated with social worker contact. This suggests that social workers are having contact with a group at elevated risk of suicide. The second part of the thesis is based on a series of semi-structured interviews with statutory social workers (n=17) (chapters six and seven), service users with a history of suicide attempts (n=3) and Community Psychiatric Nurses (CPNs) (n=3) (chapter eight). A thematic analysis of the interviews found that although statutory social workers had little or no training in assessing suicide, both service users and CPNs believed that social workers have a vital role in supporting suicidal individuals. Social workers found peer learning to be important as both a source of knowledge and learning, and as a support network. The findings of this research indicate that social workers have particular expertise in taking a holistic approach to suicide assessment and prevention. The Approved Mental Health Professional (AMHP) role is also felt to give social workers a strong knowledge of the legal issues that underpin working with this vulnerable group. However further research into the contact between social workers and suicidal service users and the assessment of suicide is necessary. The findings of this thesis have implications for practitioners, policy makers and researchers.
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Mayhew, Catherine E. "NAMI NH Youth Suicide Prevention Initiative: Most Significant Changes". Antioch University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch154522943827198.
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West, Bethany A. "A Closer Look at Gender Specific Risks in Youth Suicidal Behavior Trends: Implications for Prevention Strategies". restricted, 2008. http://etd.gsu.edu/theses/available/etd-12052008-154812/.
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Thesis (M.P.H.)--Georgia State University, 2008.Title from file title page. Monica H. Swahn, committee chair; Frances McCarty, committee member. Description based on contents viewed June 19., 2009. Includes bibliographical references (p. 67-69).
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Smith-Millman, Marissa. "SCHOOL-BASED SUICIDE PREVENTION LAWS IN ACTION: A NATION-WIDE INVESTIGATION OF PRINCIPALS’ KNOWLEDGE OF AND ADHERENCE TO STATE SCHOOL-BASED SUICIDE PREVENTION LAWS". Miami University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=miami1552560570696902.
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Goss, Kathy. "Factors Occurring in Youth Suicide Behavior in Oregon". PDXScholar, 1996. https://pdxscholar.library.pdx.edu/open_access_etds/1224.
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There has been an epidemic rate of increase in youth suicide since 1960. Professionals, teachers, counselors and parents want to identify youth at risk of suicide and intervene prior to an attempt or a suicide. The premise of this study is that youth who display similar risk factors as past attempters and completers may be at risk of attempting themselves and can be identified by these risk factors. This is a quantitative and descriptive study of youth suicide attempters and completers in the state of Oregon in 1989 and 1990 in an effort to further identify risk factors of youth suicide attempters and completers. The researcher petitioned the Oregon Center for Health Statistics and obtained databases of 1150 youth attempters and 40 suicide completers. The attempter database was compiled from a legislatively mandated informational form filled out in public and private hospital emergency rooms for anyone under 18 sustaining injuries due to a suicide attempt. The second database is compiled from death certificates for youth under 18, specifying suicide as the cause of death. Data, both in the number of cases, and in the depth of the material is sparse on suicide completers. The first question employed both databases to examine the demographic similarities and differences between youth suicide attempters and completers in Oregon in 1989 and 1990. The second and third research questions are answered using the attempter data base. The second question is an in depth examination of 18 social, psychological and behavioral factors taken from the attempter database, resulting in a description of the youth who have previously attempted in Oregon in 1989 and 1990. The third research question again studies the same 18 social psychological and behavioral factors of the attempter population, dividing it into subgroups of sex, race, and age. Through crosstabulation and the chi-square tests of statistical significance, each group was specifically described. A fourth research question called for a qualitative focus group of professional suicidologists who confirmed the findings by comparing them to their own practical experience.
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Duong-Killer, Jane. "Suicide prevention training| Its impact on college students of color". Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1595765.
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The purpose of this quantitative study is to investigate whether QPR (Question, Persuade, Refer) suicide prevention training is effective in increasing knowledge of suicide prevention among students of color, specifically Latino/a, Asian American, and Black/African American college students. This study involves secondary data analysis of 502 students who participated in a QPR training from Fall 2012 to Fall 2014. The data was collected by a suicide prevention program in Counseling and Psychological Services (CAPS) at a public university in Southern California. The findings of the study revealed statistical significance in all nine areas of knowledge for all participants before and after receiving QPR training. The findings indicate an increase in knowledge among students of color and the likelihood that the participants would approach someone who may be at-risk for suicide and assist the individual in seeking appropriate professional resources. Implications, recommendations for practice, and directions for future research are discussed.
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Perley, Sandra. "Suicide Prevention Strategies in Tennessee Community Colleges: A Case Study". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etd/2578.
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Suicide is the second leading cause of death for college students; annually approximately 1,100 students in institutions of higher education die by suicide. However, most research related to college student suicide was conducted using the sample of 4-year institutions. Community colleges have seldom been included in the sample of suicide research studies. This qualitative case study research explored the student suicide prevention strategies in the 13 community colleges in the Tennessee Board of Regents higher education system. Data were collected from surveys, institutional web sites, and interviews with institutional personnel.
Approximately half of the institutions offer suicide prevention information to students. Technology is used sparsely to educate, screen, or provide suicide referral information. Whereas only six institutions have policies that specifically address suicide, personnel at most institutions identified area agencies that serve as resources for students. Three common themes relate to the institutional response to a suicidal student: the presence of a response team, the involvement of a counselor, and referrals to community mental health resources. Institutions that employ counselors generally have more educational strategies, more suicide prevention strategies overall, and more policies that specifically address suicide than those that do not employ counselors. Internal and external factors prompted the development of suicide prevention strategies at the institutions. Internal resources such as counselor and faculty support and external resources such as area mental health agencies and community suicide prevention agencies aid in the creation and implementation of suicide prevention efforts. Lack of resources, competing priorities, and the discomfort surrounding the topic of suicide emerged as themes inhibiting the creation and implementation of suicide prevention efforts in rural institutions. While educational and institutional suicide prevention strategies are employed, most institutional efforts are directed toward preventing students from harming others.
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Hirsch, Jameson K., L. Wingate, C. Bryan, Peter C. Britton, C. Genest i K. Rasmussen. "A Positive Psychological Approach to Suicide Research, Prevention and Intervention". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/601.
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Hirsch, Jameson K., Edward C. Chang i Jessica K. Rabon. "A Positive Psychological Approach to Suicide: Theory, Research, and Prevention". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/5487.
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Book Summary: This inspiring resource presents theories, findings, and interventions from Positive Suicidology, an emerging strengths-based approach to suicide prevention. Its synthesis of positive psychology and suicidology theories offers a science-based framework for promoting wellbeing to complement or, if appropriate, replace traditional deficit-driven theories and therapies used in reducing suicidal thoughts and behaviors. Coverage reviews interpersonal, intrapersonal, and societal risk factors for suicide, and identifies protective factors, such as hope and resilience, that can be enhanced in therapy. From there, chapters detail a palette of approaches and applications of Positive Suicidology, from the powerful motivating forces described in Self-Determination Theory to meaning-building physical and social activities.
Among the topics covered:
Future-oriented constructs and their role in suicidal ideation and enactment. Gratitude as a protective factor for suicidal ideation and behavior: theory and evidence. Considering race and ethnicity in the use of positive psychological approaches to suicide. The Six R’s framework as mindfulness for suicide prevention. Community-based participatory research and empowerment for suicide prevention. Applied resiliency and suicide prevention: a strengths-based, risk-reduction framework.
Psychotherapists, counselors, social workers, psychiatrists, and health psychologists, as well as educators, clergy and healthcare professionals, will find A Positive Psychological Approach to Suicide an invaluable source of contemporary evidence-based strategies for their prevention and intervention efforts with suicidal clients.
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Yeates, Kevin Joseph. "Examining the effectiveness of an online suicide prevention gatekeeper training". Diss., University of Iowa, 2018. https://ir.uiowa.edu/etd/6526.
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The purpose of the study was to identify the effectiveness of an online suicide prevention gatekeeper training at the University of Iowa compared to previous research, other gatekeeper trainings, and to assess differences between faculty and staff trainees. Participants were faculty, staff, and students at the University of Iowa that completed the Kognito College Students or the Kognito Faculty and Staff module. To determine the effectiveness, participants completed program evaluation surveys at pre-training, immediate post-training, and six-months after completion of the training. The surveys assessed four gatekeeper appraisal scales: Gatekeeper Knowledge and Beliefs, Gatekeeper Reluctance, Gatekeeper Self-Efficacy, and Gatekeeper Experiences. The first three scales assessed the participant’s perception of their current gatekeeper skills and the last scale assessed gatekeeper behaviors in which the gatekeeper engaged.
Results of the study indicate that the training was comparably effective to previous research on Kognito and other in-person gatekeeper trainings in increasing gatekeeper skills. Furthermore, there were no significant differences in performance between faculty/staff and student participants. There is currently insufficient evidence to suggest that a specific gatekeeper training is significantly more effective than any other training. Future research, should continue to investigate the effectiveness of suicide prevention approaches and evaluate the specific factors which make gatekeeper trainings effective.
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Laroche, Patrick. "A propos de 328 suicidants admis au CHG d'Angoulême : données épidémiologiques, éléments d'un réseau de prévention". Bordeaux 2, 1992. http://www.theses.fr/1992BOR2M057.
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Dubé, John, i University of Lethbridge Faculty of Education. "Suicidal children". Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 2004, 2004. http://hdl.handle.net/10133/218.
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This study gathers the literature on suicidal children and creates guidelines designed to assist professionals with assessing the suicidality of a child. Analysis of the literature reveals that there are varying ages of children used in the research, a lack of standardization for the definition of suicide, and resistance towards a collective research approach to understanding suicidal behaviour. The literature also identifies the important risk factors, which are incorporated into guidelines for determing this sucidality of a child: family discord and violence, depression, significant loss, poor and/or dysfunctional parent/child communication and bonding, aggressive behaviour, stress, physical abuse, parental separation/divorce, hopelessness, academic difficulties, prior suicide attempts, and viewing death as a temporary state of being.viii, 104 leaves ; 29 cm.
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Domarkaitė, Rūta. "Jaunimo suicidinio elgesio prevencija socialinio pedagogo darbe". Bachelor's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140620_102310-13984.
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Savižudybė – reiškinys, kurį tiria daug mokslų: sociologija, filosofija, medicina,
psichologija, kriminologija, teologija ir kt. Savižudybė – sudėtinga, daugiareikšmė problema, kuri
neturi kokios nors vienintelės priežasties ir paaiškinimo. Ją dažniausiai sukelia psichologinių,
kultūrinių ir socialinių veiksnių visuma (Polukordienė, 2003).
Savižudybės Lietuvoje yra didžiulė problema, kurios aktualumas akivaizdus. 2011
m. nusižudė 20 vaikų ir jaunuolių iki 19 metų amžiaus. Pasaulinės organizacijos duomenimis,
bandymai nusižudyti iki 20 kartų dažnesni nei savižudybės.
Raktiniai žodžiai: jaunimas, suicidas, prevencija, savižudybės.
Tyrimo objektas - socialinių pedagogų požiūris savižudybių fenomeną prevencija.
Rašant darbą buvo naudojama mokslinės literatūros analizė, atliktas kiekybinis tyrimas,
pasirinkus anketų metodą.
Šio tyrimo tikslas - nustatyti socialinių pedagogų požiūrio į jaunimo savižudybių priežastis ir
prevencijos galimybes būsimajame darbe.
Tyrimo uždaviniai-
1. Aptarti jaunimo suicidinio elgesio problemos aktualumą.
2. Nustatyti sunkumus, su kuriais susiduria studijų metu socialiniai pedagogai.
3. Nustatyti socialinių pedagogų informuotumą apie jaunimo savižudybių priežastis.
4. Nustatyti socialinių pedagogų pasirengimą teikti pagalbą suicidinio elgesio atveju.
Išvados:
1. Lietuva pagal savižudybių skaičių vis dar užima pirmąją vietą pasaulyje. Kaip nurodo,
T. Ramanauskienė, V. Matulionienė, V. Martinkienė (2002), žudosi vis... [toliau žr. visą tekstą]Each age period of human life is different for its diversity and peculiarity. He/she faces new challenges while gaining diverse experience, establishing social relationships, communicating and cooperating. One of such age periods is adolescence. This is transition from childhood to adult life that starts with sexual maturation and ends with the formation of personality and readiness for independent life. The chronological range is typical for this period of age: early adolescence at the age 12-14, the middle one – at the age 15-18, and the late – at the age 19-21, until the individual ceases to grow physically (Vaičiulienė, 2004).No coincidencethat due tothe abundance of changes the adolescence is characterized as "storm and stress" period inthe literature. According to Erikson teenager experiences the confusion crisis of identity roles during which he/she tries to find out who he/she is, what his/her goals and aspiration are. Therefore, during this period it is a significant increase in suicidal thoughts as an incentive to solve the problems. 1. During the study it was found that the most important reasons for adolescent's suicidality is the age of the youngsters embracing loneliness, inability to establish relationships with other people and the attemptto solve all the problems simultaneously. 2. The data analysis showed that the respondents seek the help in the familyafter facing the problems, and only a small part of them refers to... [to full text]
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Rådbo, Helena. "Systeminriktad prevention av järnvägssjälvmord : Strategiutveckling i en svensk kontext". Doctoral thesis, Karlstads universitet, Avdelningen för hälsa och miljö, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-2871.
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Railway suicide constitutes a limited but significant fraction of all suicides, and a majority of all railway-related deaths, in Sweden as well as in many other countries. The aim of this thesis is to develop the scientific basis for the prevention of railway suicide, with special regard to knowledge and strategies within the reach of the railway system owners themselves. An initial descriptive epidemiologic study showed that railway suicide episodes cluster in densely populated areas, and that victims often seem to await approaching trains for some time on or close to tracks before being hit. This means that preventive efforts can be prioritized to geographically limited areas and that there exists a time margin for early detection, forewarning, braking, rescuing, and the like. Secondly, a theoretical study was conducted in order to derive an overview of theoretically possible barriers aimed at preventing railway suicide. The approach is based on the comparison and synthesis of theories and models from suicidology and safety sciences applied to the railway suicide phenomenon. This led to a list of possible barriers, also intended as a checklist. This was followed by a multiple case study, where a number of authentic cases were analysed in-depth on the basis of investigation reports by the police and railway officials, plus complementary researcher observations from the actual sites of the suicide occurrences. The study revealed some deficiency in current investigation and reporting routines from a preventative viewpoint and indicated the potential for a broader and more systematic collection of prevention-relevant information in immediate connection with the events. Finally, a focus group study, involving safety practitioners from both the railway and other sectors, confirmed a general understanding and acceptance among practitioners of the theoretically derived principles, and a readiness to broaden the scope of railway safety to include approaches to prevent suicide. In conclusion, it should be possible to influence the occurrence of railway suicides by means available within the railway transport system itself. A spectrum of possible alternative barriers is identified, as well as an, as yet, underutilized potential in the form of more systematic data collection and learning routines from actual events. Last but not least, there is a readiness among practitioners to incorporate these principles in regular railway safety work.
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Devaney, Kristin. "Examining the Needs of Suicide Prevention and Intervention in Elementary Schools: An Exploratory Study with Elementary School Counselors". Diss., Virginia Tech, 2018. http://hdl.handle.net/10919/82972.
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While research studies have investigated suicide prevention and intervention in secondary schools, there is very limited research that explores this support specifically at the elementary school level. This paper reviews the prevalence and associated risk factors of youth and adolescent suicide in the United States and best practices of school counselors providing suicide prevention and intervention in schools. The theory of adolescent suicide and social cognitive theory's self-efficacy will frame the discussion of the literature to provide a holistic picture of the elementary schools' needs of implementing suicide prevention and intervention. This research study is designed to fill a gap in the reviewed literature that shows the need for providing prevention and intervention in elementary school and the education that is currently being provided, as well as the level of self-efficacy among elementary school counselors providing suicide intervention to students at-risk. The following research questions guide the study:
1. What percentage of elementary education school counselors in the surveyed districts report having implemented suicide education as prevention in their elementary school with 4th and 5th graders, and what do these programs entail?
2. What are the perceptions of school counselors regarding the necessity of suicide education programs in elementary school?
3. What is the level of self-efficacy reported by school counselors regarding managing a crisis event of suicidality, such as a suicide attempt or student who died by suicide, as measured by the King Instrument?
4. To what extent are (a) years of experience in the field, (b) suicide education training in graduate school, (c) participation in professional development activities and/or in services, and (d) previous experience with a student expressing suicidal thoughts predictive of a counselor's self-efficacy for providing suicide education in the elementary school?
Responses from 98 elementary school counselors employed within three school districts in the mid-Atlantic region were surveyed to examine the current suicide prevention programs in place and explore counselor self-efficacy related to providing suicide intervention for at-risk students. The King Instrument (King, 1999) was adapted for elementary school counselors and used to answer the research questions. A total of 7 of participants reported providing suicide prevention to the upper elementary grades. A much larger number of this sample, 83 (84.7%), perceived that it is the role of the school counselor to identify students at risk of suicide. Participants reported high overall self-efficacy for providing suicide interventions. Only one variable, graduate school training (B=0.249, p<.01), was found to significantly predict self-efficacy. A review of the current study will discuss implications for school counselors and counselor educators, and provide suggestions for future research.Ph. D.
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Cais, Carlos Filinto da Silva 1971. "Tentativa de suicidio recorrente : um estudo clinico de individuos que tentaram o suicidio ao menos tres vezes". [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311436.
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Orientador: Neury Jose BotegaDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-06T23:30:18Z (GMT). No. of bitstreams: 1 Cais_CarlosFilintodaSilva_M.pdf: 11229550 bytes, checksum: a9dd21a89813b1247415690cf31f50e2 (MD5) Previous issue date: 2006
Resumo: A quase totalidade dos dados sobre indivíduos que repetem tentativas de suicídio provêm de países desenvolvidos. O objetivo deste estudo é descrever o perfil clínico de 61 indivíduos que deram entrada no Pronto Socorro do Hospital das Clínicas da Universidade Estadual de Campinas por uma tentativa de suicídio que era, pelo menos, a terceira de suas vidas. Tal descrição foi feita através da comparação com 102 indivíduos que deram entrada no mesmo pronto socorro pela primeira tentativa de suicídio de suas vidas. Dados sociodemográfícos e clínicos foram coletados através do questionário WHO/SUPRE-MISS, o qual continha também diversas escalas psicométricas. No grupo dos repetidores havia maior proporção de mulheres (83.6% vs 56.8%; OR= 4,47), indivíduos na faixa etária entre 25 e 44 anos, em pior situação ocupacional e com maior disfunção no desempenho de papéis sociais (OR= 2,5; 3,1 e 1.05 respectivamente). Repetidores também apresentaram mais sintomas depressivos. Talvez em nossa cultura mulheres tenham melhor retomo em termos de pedido de socorro e/ou mudança de ambiente após a tentativa de suicídio, o que encorajaria a repetição do ato
Abstract: The great majority of data regarding individuals with repeated suicide attempts were obtained from developed countries- The aim of this study is to describe the clinical profile of 61 Brazilian individuals who attempted suicide at least three times and compare them to 102 who were brought to a university hospital for their first suicide attempt. Socio-démographie and clinical data were collected using the WHO/SUPRE-MISS questionnaire, which also comprises several psychometric scales. In the repeaters' group, there were more women (83.6% vs 56.8%; OR= 4,47), 25-44 year-old subjects, worse occupational status and social role performance disability (OR= 2.5, 3.1 and 1.05 respectively). Repeaters also had higher scores on depression. Maybe in our culture women would obtain better feedback with such behavior, that is, help and/or change in the environment, which would encourage the repetition of the act
Mestrado
Saude Mental
Mestre em Ciências Médicas
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Deschenau, Alice. "Prévention du suicide en détention : approche évaluative d'un programme de prévention en maison d'arrêt à partir des vécus et représentations des personnes incarcérées". Thesis, Lyon 2, 2015. http://www.theses.fr/2015LYO20143/document.
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La prévention du suicide en prison a fait l’objet d’études et expertises nationales et internationales permettant d’obtenir des informations épidémiologiques, de rechercher des profils à risque et de proposer des mesures pour les programmes de prévention. Elle manque notamment de travaux sur la clinique du suicide en prison, sur l’évaluation des mesures de prévention. Notre étude s’appuie sur une approche évaluative des mesures de prévention du suicide dans une maison d’arrêt. Nous avons proposé un entretien à des personnes incarcérées depuis 1 mois. Elles ont évalué l’utilité des 12 mesures de prévention avec une échelle de Likert en 5 points, émis des commentaires libres et indiqués au préalable si elles connaissaient le dispositif de prévention et y avaient eu recours. De plus, ont été complétés : le degré d’urgence suicidaire à J0, J7 et J28 et les facteurs l’ayant influencé, l’inventaire des raisons de vivre de Linehan (IRVL), le Mini International Neuropsychiatric Interview. Vingt des 53 participants ont été suicidaires au cours du 1er mois ; seuls 15 ont déclaré connaître l’existence d’un dispositif de prévention. Huit mesures étaient perçues comme significativement utiles. Quatre ont obtenu un résultat ambivalent : limitation des points d’attache, doublement en cellule, surveillance spéciale et cellule de protection d’urgence. La recherche de corrélations a retrouvé différents liens selon les mesures avec l’état suicidaire, le recours au dispositif, l’IRVL, les troubles psychiatriques dépistés. Nous discutons comment les outils psychologiques peuvent être utiles pour l’évolution de chacune des mesures de prévention, pour l’adaptation du programme de prévention dans son ensemble, notamment en intégrant une participation des personnes incarcérées. De plus, préserver des espaces de parole dans l’application des mesures est apparu de manière interstitielle comme une attente essentielle des participants. Des propositions de mesures ont été formulées par ces derniers et offrent des perspectives pour l’avenirNational and international studies and reports about preventing suicide in jail have been published, giving information about epidemiology, suicide risk profiles. They also provide prevention measures. More researches are required to improve knowledge of clinical aspects of suicidal behaviors in prison and to evaluate prevention programs. The study consisted in an assessment of 12 measures of a local preventing suicide program. We asked prisoners who had been jailed since one month for an interview. First they had to tell if they knew about the existence of a prevention program. Second, they evaluated the usefulness of each measure in (5 points - Likert scale). They freely explained their choices. We asked them about suicidal ideation’s presence since they had arrived in jail, their urgency degree at D0, D8 and D28, and the factors that contributed to these states. They filled the Reasons for Living Inventory of Linehan (RLIL) and the Mini International Neuropsychiatric Interview. Twenty of the 53 participants have had suicidal thoughts during the first month ; only 15 told they knew there was a suicide prevention program. Eight measures were noted as significantly useful. Four of them obtained a middle score : limitation of hanging points, cell doubling, special monitoring, special protection cell. The search for correlations have found different combinations of links between some measures, the suicidal states, use of the program, the RLIL and psychiatric disorders. We discuss about how psychological tools can be helpful to the evolution of each measure, to the adaptation of the global prevention program. Notably, the prisoners’ participation is in particular proposed. Moreover, preserving speaking time with freedom of expression in the application of the program was expected by the participants. At last, they proposed innovative methods that could serve as a lead for followup works
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Sirovica, Elvira, i Ann-Catherine Martinelle. "”Du kan göra skillnad i människors liv utan att ha en aning om det” : En kvalitativ studie om några socialsekreterares syn på suicidalitet". Thesis, Stockholms universitet, Institutionen för socialt arbete - Socialhögskolan, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-80663.
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During 2010, 1446 people committed suicide in Sweden. Research shows that groups that are less favored in society have an increased risk of suicide. Social services often encounter groups of people that have a high risk of suicide, for instance welfare recipients or substance abusers. The purpose of this study was to shed light on how social workers talk about suicide and how this might affect interactions with suicidal clients. The study is based on qualitative interviews with five social workers in Stockholm. The results were analyzed using the theory of professional discretion and the perspective of existentialism. The most important results were that social workers do not think that they can help suicidal clients on their own, instead they need psychiatric help. Meeting with suicidal clients raises a lot of feelings and one way to cope with this is by distancing oneself from the client. The study also showed that suicide is a complex issue and it can be hard to find a position between the human right of autonomy and the will to help people. Continuity was viewed as an important factor, but due to the work load it can be hard to follow up these clients.
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Choi, Young Yoon. "A model of pastoral counseling for suicide prevention among young soldiers". Theological Research Exchange Network (TREN), 2005. http://www.tren.com/search.cfm?p049-0457.
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Bell, Bridgette R. "A Human Systems Integration analysis of the Army suicide prevention program". Monterey, California: Naval Postgraduate School, 2013. http://hdl.handle.net/10945/34626.
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Approved for public release; distribution is unlimitedA Human Systems Integration (HSI) analysis of the Army Suicide Prevention Program (ASPP) was conducted to gain feedback from soldiers and leaders. The scope of this study limited analysis to the prevention activities associated with the ASPP system. A retrospective analysis of Army suicide statistics from 20082011 was conducted prior to data collection. During 24 in-person interviews, soldiers assessed the importance of the four user needs, the usefulness of the systems interfaces, and overall effectiveness of the system. The research team drew conclusions about two of the four research questions. The study determined there were mismatches between the needs of the users and the system resources and concluded the stigma associated with seeking help is a hindrance to help-seeking behaviors. The system mismatches were translated into four system gaps and eight recommendations. The diversity and feedback of the participants was noteworthy and provided vital insight into the suicide issue within the military and the Armys effort to address the problem. Recommendations for future research are: including poor sleep quality as a risk factor for suicide, including self-awareness as a protective factor for suicide, implementing more evidence-based approaches to care, and leveraging lessons learned from college-based suicide prevention.
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Maxon, Laura. "Increasing our understanding of technology-based psychological interventions for suicide prevention". Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/increasing-our-understanding-of-technologybased-psychological-interventions-for-suicide-prevention(507b4634-6061-4d00-baab-fc12d9765db4).html.
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Suicide is a complex phenomenon that occurs on a continuum with thoughts of suicide, plans and attempts that can eventually result in death. Suicide is one of the top ten reasons for death in most countries. Governments are challenging healthcare systems to reduce suicide through preventative healthcare. The first paper explores psychological interventions for people with suicidal thoughts and behaviours delivered through technology. It explores the evidence-base for internet-based Cognitive Behavioural Therapy, telephone based interventions, CD-ROMs and other Internet-based therapies. Nineteen papers were identified with four papers of good quality evidence supporting Internet-based cognitive behavioural interventions. The second paper is a feasibility and acceptability study which explores a diary and intervention delivered through a mobile phone. Twenty participants were recruited through adult secondary care community mental health teams in the North West of England. High completion rates and low dropout rates were found. Participants rated the technology and interventions high in terms of practicality, ease of use and overall satisfaction with the programme and reported that it was moderately helpful. Preliminary data on effectiveness suggests reactivity to the method in the short term but a reduction in symptoms overall. These results and ESM methodology must be treated with caution for people with suicidal thoughts due to the increase in symptoms found following the intervention. The third paper offers a critical reflection on the first and second papers.
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Lindquist-Grantz, Robin. "Youth Participatory Action Research as a Strategy for Adolescent Suicide Prevention". University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin149131648280023.
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Saini, Pooja. "Suicide prevention in mental health patients : the role of primary care". Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/suicide-prevention-in-mental-health-patients-the-role-of-primary-care(b3f61b67-3baf-4b63-9f68-c9182c30f010).html.
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Background: Primary care may be a key setting for suicide prevention as many patients visit their General Practitioner (GP) in the weeks leading up to their death. Comparatively little is known about GPs’ perspectives on risk assessment, treatment adherence, management of and interactions with suicidal patients prior to the patient’s suicide and the services available in primary care for suicide prevention. Aim: This study aimed to explore primary care data on a clinical sample of individuals who died by suicide and were in recent contact with mental health services in order to: investigate the frequency and nature of general practice consultations; examine risk assessment, treatment adherence and management in primary and secondary care; gain GPs’ views on patient non-adherence to treatment and service availability for the management of suicidal patients. Method: A mixed-methods study design including data from the National Confidential Inquiry on 336 patients who died by suicide, data from 286 patient coroner files, primary care medical notes on 291 patients and 198 semi-structured face–to-face interviews with GPs across the North West of England. We collected data on GPs' views on the treatment and management of patients in the year prior to suicide, suicide prevention generally and local mental health service provision. Quantitative data were analysed using SPSS. Interviews were transcribed verbatim and analysed using a thematic approach. Results: Overall, 91% of individuals consulted their GP on at least one occasion in the year before suicide. GPs reported concerns about their patient’s safety in 27% of cases, but only 16% of them thought that the suicide could have been prevented. The overall agreement in the rating of risk between primary and specialist care was poor (overall kappa = 0.127; p = 0.10). Non-adherence was reported for 43% of patients. The main reasons for non-adherence were lack of insight, reported side effects and multiple psychiatric diagnoses. We obtained qualitative data from GPs on their interpretations of suicide attempts or self-harm, professional isolation and GP responsibilities when managing suicidal patients. Limitations: Our findings may not be generalisable to people who died by suicide and were not under the care of specialist services. GPs recruited for the study may have had different views from GPs who have never experienced a patient suicide. Our findings may not be representative of the rest of the UK although many of the issues identified are likely to apply across services. Conclusion: Suicide prevention in primary care is challenging. Possible strategies for future suicide prevention in general practice include: increasing GP awareness of suicide-related issues and improving training and risk assessment skills; increasing awareness in primary care about why patients may not want treatments offered by focusing on each individual’s situational context; removing barriers to accessing therapies and treatments; and, better liaison and collaboration between services to improve patient outcomes.
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Perceval, Meg. "Translating evidence into practice: Wellbeing and suicide prevention in rural Australia". Thesis, Griffith University, 2018. http://hdl.handle.net/10072/386230.
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In Australia, farmers have been recognised as a particular at-risk group for suicide. A greater understanding is needed as to why this is the case so that contextually sensitive suicide prevention strategies may be developed. Further evaluation of suicide prevention initiatives is necessary to demonstrate their effectiveness. This project will advance current understanding of farmer suicide in Australia, develop a culturally appropriate suicide prevention program tailored specifically for this audience, and provide an evaluation measuring its impact. A mixed methods multiphase approach will be taken with the overall objective to better understand risk factors and attitudes towards farmer suicide (Component One) and to utilise this information to develop, deliver and evaluate an evidence-informed, tailored and culturally appropriate suicide prevention initiative (Component Two). Component One involves qualitative analysis of focus group data from an Australian Research Council Linkage grant ARC LP120100021 “Influences on farmer suicide in Queensland and New South Wales” gathered from male and female farmers from three diverse sites across New South Wales and Queensland. This information, in combination with a comprehensive literature review and practice-based evidence, will inform Component Two. Component Two involves the development, delivery and evaluation of a tailored suicide prevention workshop, SCARF (Suspect Connect Ask Refer Follow-up). SCARF is a 4-hour face to face workshop focusing on improving health to reduce suicide in accordance with suicide prevention best-practice. The content is theoretically informed by the Interpersonal Theory of Suicide and the Biopsycho-ecological model. Evaluation of the SCARF program comprises quantitative analysis to measure participant changes in levels of suicide stigma, suicide literacy, mental wellbeing and confidence to assist others. This study will contribute important knowledge towards the body of evidence in farmer suicide prevention.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
Aust Inst Suicide Res&Prevent
Griffith Health
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Jackson, Janet Marlene. "School counselors' perceptions of effective components in adolescent suicide prevention programs". CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2719.
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The purpose of this project was to explore perceptions of effective components in adolescent suicide prevention programs among San Bernardino school counselors. The stress model and the mental health model are the two models implemented in suicide prevention programs.